Foster Parent Application

This application helps Fox Terrier Rescue of Colorado find the best match for our terrier foster needs. Thank you very much for considering assisting with terrier placement.

Directions:

Complete the application below.
Click the button at the end to send it to us.

Thank you !

Fox Terrier Rescue of Colorado respects your privacy -
we do not sell or release your personal information.

Contact/Personal Information

Name
Street Address
City
State
Zip Code
Phone
Alt. Phone
E-mail Address
Occupation-Self
Occupation-Spouse

Single Married Live alone Live with parents Military

Number of children living with you and their ages:

Living Situation

Single Family Home
Duplex
Apartment
Condo/Townhouse

If you rent, name of landlord and contact information:

Fenced yard:
Yes No

If yes, type of fencing AND height:

Swimming Pool:
Yes No

If yes, is it separately fenced?
Yes No

Dog Ownership History

Have you fostered dogs previously?
Yes No

If yes, what breeds?

What other pets do you currently have? For dogs, please include a description of the breed, age, sex, and whether they are alterered.

Name and contact information for your veterinarian:

Have you or an immediate family member ever been charged with animal cruelty?
Yes No

Three references who can verify your pet ownership experience:
1.
2.
3.

Dog Wish List

Gender: Female Male No Preference

Age:

Breed: Smooth Fox Terrier Wire Fox Terrier No Preference

Are you willing to take a dog with special needs (could include potty training, separation anxiety, medical conditions, geriatric?

Yes No Maybe

When could you begin fostering your rescue?

Agreement

By checking this box, I agree:

To accept complete responsibility for total care of my Fox Terrier, including regular vet visits, adequate exercise and training during my foster time period
To a home visit from Fox Terrier Rescue to confirm that I can supply the appropriate environment for my foster terrier
To notify Fox Terrier Rescue immediately if I need to relinquish my foster Fox Terrier
To notify Fox Terrier Rescue of any change in my address, phone number and email address
That I have no legal claim to any foster terrier and that I shall not seek to obtain any
To hold blameless Fox Terrier Rescue of Colorado for any acts of the foster terrier while under my care
To notify my FTR coordinator immediately if the behavior or temperament of the foster terrier is incompatible with the foster home environment or capability to foster adequately
To complete the adoption process should I decide to keep my foster terrier, including a donation as determined by Fox Terrier Rescue to FTR, which is used to defray ongoing costs of rescue care (like spaying, neutering, medical treatment, food)

Signature/Name: Date: